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OMB Control No: 0906-0081	ICR Reference No: 202610-0906-006
Status: Received in OIRA	Previous ICR Reference No: 202401-0906-003
Agency/Subagency: HHS/HRSA	Agency Tracking No: 19186
Title: National Practitioner Data Bank for Adverse Information on Physicians and Other Health Care Practitioners: 45 CFR Part 60 Regulations and Forms
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular	Date Submitted to OIRA: 10/23/2026

	Requested	Previously Approved
Expiration Date	36 Months From Approved	01/31/2027
Responses	9,238,519	8,114,604
Time Burden (Hours)	403,194	374,258
Cost Burden (Dollars)	22,938,443	0

Authorizing Statute(s): US Code: 42 USC 11101 Name of Law: Health Care Quality Improvement Act of 1986
   US Code: 42 USC 1301 Name of Law: Health Care and Abuse Data Collection Program
   US Code: 42 USC 136r-2 Name of Law: Section 1921 of the Social Security Act
   US Code: 42 USC 1320a-7e Name of Law: Section 1128E of the Social Security Act
   PL: Pub.L. 111 - 148 6403 Name of Law: Patient Protection and Affordable Care Act of 2010
   PL: Pub.L. 104 - 101 221 Name of Law: Establishment of the Health Care Fraud and Abuse Data Collection Program
   PL: Pub.L. 99 - 660 402 Name of Law: Health Care Quality Improvement Act of 1986

Citations for New Statutory Requirements: None

ICR Summary of Burden

	Total Request	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	9,238,519	8,114,604	1,123,915
Annual Time Burden (Hours)	403,194	374,258	28,936
Annual Cost Burden (Dollars)	22,938,443	0	22,938,443

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The overall increase is mainly attributable to a higher volume of “Continuous Query” and “Self-Query on an Individual” Forms. The volume of “One-time Query for an Organization” and “State Licensure or Certification” Forms also increased significantly. Any declines in burden for individual forms are due to a decline in respondents, based on more up-to-date data on form completion for NPDB. Please note that the burden table in the SS-A distinguishes between manual and automated collections, both of which are electronic, and the burden table combines the totals and uses rounding. The burden statement on the forms serves as a placeholder and will be adjusted as appropriate once inputted in the NPDB system.

Annual Cost to Federal Government: $32,200,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

Agency Contact: Laura Cooper 301 443-2126 lcooper@hrsa.gov

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